NPIMap

Organization Active NPI

Simmons Dental Corporation

  • Dentist
  • Palmdale, CA
National Provider Identifier
1912004730
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24629 Issued in CA
Legal business name
SIMMONS DENTAL CORPORATION
Practice address
1029 Elizabeth Lake Rd
Palmdale, CA 93551
Phone
(661) 947-3163
Fax
(661) 947-0538
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gerald Scott Simmons, DRNPI 1578869442
Title
Owner
Phone
(661) 947-3163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 31979 CA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 29916 CA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 24629 CA Primary

Addresses

Primary practice location

1029 Elizabeth Lake Rd
Palmdale, CA 93551

Mailing address

1029 Elizabeth Lake Rd
Palmdale, CA 93551
Phone (661) 947-3163

Other names 1

  • Simmons Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1029 Elizabeth Lake Rd
Palmdale, CA 93551
Phone (661) 947-3163

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1912004730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 ELIZABETH LAKE RD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-947-3163",
            "fax_number": "661-947-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 ELIZABETH LAKE RD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-947-3163",
            "fax_number": "661-947-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-947-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31979",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "29916",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "24629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simmons Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.